Healthcare Provider Details

I. General information

NPI: 1073493060
Provider Name (Legal Business Name): AQUIL BEY NRP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 11/30/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MOSS ST # 19643
NEW ORLEANS LA
70119-4903
US

IV. Provider business mailing address

501 MOSS ST # 792392
NEW ORLEANS LA
70119-4903
US

V. Phone/Fax

Practice location:
  • Phone: 504-233-2225
  • Fax:
Mailing address:
  • Phone: 504-233-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberLA21-6629
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: